NPI | 1720091945 |
---|---|
Doing Business As | BRENTWOOD MENTAL HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | JAMES L TOMARKEN Commissioner 631-854-0100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2006-08-15 |
Last Update Date | 2012-10-22 |